Jatin Shah’s head and neck sugery and oncology
- 4th edition
- Philadelphia Elsevier Saunders 2012
- 807 Pages
Includes bibliographical references and index
The fourth edition of this book builds on the strength of the previous three editions and reflects the shifting paradigms in the contemporary management of tumors of the head and neck. With acquisition of new knowledge, advances in technology, and better understanding of the biology of neoplasms, a new edition becomes necessary to incorporate changes to the practices of decades gone by. This edition is nearly completely rewritten, with all the artwork in full color and a uniform style of chapters for easy flow of the content. As with the previous editions, the mainstay of the book is based on description of diagnostic approaches, therapeutic decisions, surgical techniques, and results of treatment. In addition, principles of radiation oncology, chemotherapy, maxillofacial prosthodontics, and dental oncology have been included. New to this edition are dedicated sections on pathology and diagnostic radiology for each chapter. This edition also incorporates the newly introduced staging system for head and neck cancer of the American Joint Committee on Cancer and the International Union Against Cancer. The diagnostic approaches, therapeutic decisions, and algorithmic thought process for selection of therapy presented in this book are a culmination of our experience for more than 40 years at Memorial Sloan-Kettering Cancer Center in New York. These philosophies and management strategies currently practiced by us reflect the consensus of a multidisciplinary group of specialists working together as members of a cohesive team. Although the outcome results presented in this book are generated from databases of patients treated by the members of the Head and Neck Disease Management Team at Memorial Sloan-Kettering Cancer Center, the treatment paradigms and information presented are relevant worldwide. This is evident from the global popularity of the third edition of this book, which was translated and published in Spanish, Portuguese, Greek, and Chinese. We anticipate that the current edition will also be available in several languages to reach readers in every part of the world. Management of tumors of the head and neck has evolved into an increasingly complex specialty, demanding expertise and exposure not only in various surgical disciplines, but also in allied specialties such as radiation oncology, medical oncology, endocrinology, nuclear medicine, diagnostic radiology, pathology, and maxillofacial prosthodontics. The primary goal of contemporary management of neoplasms of the head and neck has always been improvement in survival. Increasing emphasis, however, is being placed on quality of life in selecting treatment approaches and on limiting the sequelae of treatment. Consonant with this, measures have been used in minimizing or preventing the sequelae of treatment and retention or restoration of function of the affected systems. The past two decades have seen a major paradigm shift in management of tumors of the larynx and pharynx. Increasing use of minimally invasive and endoscopic laser resections has replaced open surgical procedures for conservation of voice. Preface Advanced cancers of the larynx and pharynx that once required total laryngectomy are now being treated with organ preservation programs of chemotherapy and radiotherapy. These treatment programs have opened a whole new vista of challenges for the surgeon in managing treatment-related complications and employing salvage surgical procedures for failures of organ preservation strategies. The newly written chapter on chemotherapy includes the pharmacology of currently used drugs and evidence-based treatment recommendations from randomized clinical trials of chemotherapy or chemoradiotherapy. Availability of intensity-modulated radiation therapy (IMRT) has completely changed the spectrum of radiotherapy techniques and the short- and long-term sequelae of external radiation therapy. The increasing use of conformal treatment planning is emphasized, and fundamental principles of radiation oncology essential for the surgeon are enumerated in the chapter on radiation therapy. Surgery for neoplasms at the cranial base has reached a state of maturity, and long-term outcomes of craniofacial surgery are now available. These mature surgical procedures are demonstrated in detail in a stepwise fashion, and outcomes of skull base surgery for various neoplasms are reported. Widespread application of microvascular free tissue transfer, now routinely practiced for more than 25 years, has matured to the state of finesse whereupon functional restoration and aesthetic considerations have become important issues in reconstructive techniques. These are amply demonstrated with the utility of local, regional, and free flaps. The aesthetic impact of ablative surgical procedures has been a matter of concern for a long time. Refinements in surgical techniques have minimized the aesthetic sequelae of ablative surgery, as demonstrated in several operative procedures. The surgical techniques demonstrated with sequential operative photographs of actual operations performed by us have evolved and have been continuously refined over time. The operative photographs taken by the authors maintain the “surgeon’s view” of the operative field. Where necessary, the operative photographs are supplemented with color artwork to demonstrate the anatomic relationships and enhance the technical details of a complex surgical field. The addition of Diagnostic Radiology and Pathology to each chapter complements the comprehensive coverage of each topic by presenting the selection of a particular imaging study and the salient histological features of tumors. It is obviously impossible for a surgical book of this nature to be either “complete” or “up to date” for a long time. Undoubtedly, improved understanding of the molecular mechanisms of oncogenesis, introduction of new technology in the operating room, newer modalities of imaging, newer techniques of delivering ionizing radiation, and the introduction of new chemotherapeutic agents will change the management strategies in the future. It is certain that new surgical procedures, developed as a result of new technology, will be introduced to challenge old and established operations. The focus clearly will be to minimize surgical trauma, preserve form and function, and leave minimal impact from surgical intervention. Similarly, complex multidisciplinary nonsurgical treatment programs will be aimed at reduction of morbidity, acute toxicity, and long-term sequelae of therapy in the future. The contents of this edition, though, reflect the art and science of oncology and the craft of head and neck surgery as practiced today. The book is primarily aimed at the young head and neck surgeon who has completed basic surgical training in otolaryngology, general surgery, plastic surgery, or maxillofacial surgery. This book may also be of use to practicing surgeons in the specialty of head and neck surgery and oncology to become familiar with the current philosophies in the surgical management of tumors of the head and neck and the role of multidisciplinary approaches to certain tumors with emphasis on oncologic and functional outcomes.
9780323055895
--1. Head—surgery—Atlases. 2. Head and Neck Neoplasms—surgery—Atlases. 3. Neck— surgery—Atlases. 4. Skull—surgery—Atlases. 5. Surgery, Plastic—methods—Atlases.